4546 Villa Dr
SE'aGiNICK HEATING & AIR CONDITIONING CO. HEATING
resr aecoR~
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN20 •(952 81-9000
ADDRESS q5- V% lla rY V~ r CITY L d~q~
OCCUPANT ^ ~q¢~~~ ~ O) NER
SOLD BY~ INSTALLEo Bv ~-a ~ ~
MAKE f/ ~yQdl MODEL VQ3 o T-
SERIAL NO. S~ D 3 J'f p~ ]~/V INPUT
THERM057ATVENTSIZE
VALVE ~ NPE OF LINFR LIMIT LINER SIZE 5- '
LIMIT SETiING O FILTERS: SRE R5-x l NUMBER ~
FAN SETfWG :~Ts jh fC ) WIRING
PILOTTVPE! TESTTAG
IGNITION MODEL LIGHTING INST.
PILOT TIMING
DATE TESTED
PRESSURE ~ •/S ~ pERCENT COi ~INPUTCPH C~`+ PERCENT Oz rp O CAMPANYTESTING
STACK TEMP. ?~D 7-- PERCENT CO NAME OF TESTER
FOqM235(flEV.H/89) FORMOISTfliBUTION: WHITECOPV-J09FlLE VELLOWCOPV-QTV
SEDGWICK HEATING & AIR CONDITIONING CO. HEATING TESTRecoRO JOBNO.
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 887-9000
ADDRESS~_L__/ `T vJ"+/~. CITY ~999/7
OCCUPANT OWNER
SOLD BY S-Pc INSTALLED RY 5't C1 w, 7r
MAKE MODEL3ID~'VD7(O~Qr7-O_
SERIALNO. ~IQ~F7:2 5-;2- / INPUT
THERMOSTAT ~ &1- VENT SIZE
L4 /n~ ~y
VALVE ~ TYPE OF LINER 'l
LIMIT LINER SIZE
LIMITSETTING FILTERS: SIZE /6X -2 rx / NUMBER /
FAN SETfING WIRING
PILOTTYPE ~6k~ 4~5a1 TESTTAG
IGNITION MODEL LIGHTING INST.
PILOTTIMING
~i -2 " DATE TESTED
PRESSURE ~ +S PERCENT COz 6 /
INPUTCFH bv PERCENTOz COMPANYTES7ING
P ~
STACK TEMP PERCENT CO NAME OF TESTER ~
FOqM235(FEV.11/B9) FORMOISTRIBUTION: WHITECOPY - JOBFIIE YELLOWCAW-CT'
c /8OW
SEDGWICK HEATING & AIR CONDITIONING CO. resTRecoao JOBN~ 7/
8910 WENTWOflTH AVENUE SOUTH • M'INNEAPOLIS, MN 55420 •(952) 887-9000
ADDRESS "/S710 Ui~~ / i"
/`w~ - --':ITY L~n
OCCUPANT OWNE
SOLD ` INSTALL€D RV ~De/ Ni• C
MAKE IJI~VarI~ MODEL 3/O/U/V o 3~oa7O
SERIA N N 3i¢3/SS 7 INPUT ~1V/
v
THERMOSTAT VENT SIZE
VALVE ~ TYPE OF LINFR
/
LIMIT LINER SIZE S
LIMITSEfTING FILTERS: SIZE NUMBER /
FAN SETTING ~ 1;1 { WIRING ~
PILOTTYPE TESTTAG
IGNI710N MODEL i LIGHTING INST.
PILOTTIMING G~ DATE TESTED
PRESSURE 3 PERCENT COz
INPUT CFH PERCENT Oz COMPANY TESTING
STACK TEMP. PERCENT CO NAME OF TESTER
FORM235(REV.fl/89) WRMDISTRIBULIDN: WHRECOPY - JOBFILE YEl.LOWCOPY - CIiV
~ HEATING ~I
SEDGWICK HEATING & AIR CONDITIONING CO. resTRecoRO ~08N0.
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 887-9000
ADDRESS ISV6 V I~'T+ oKw~r CITV -
OCGUPANT f4~L 'S OWNER
SOLD BY S~ INSTALLEn aY !5,~
MAKE I~KI9~I/ MODEL 3IOAPO3(oo74
SERIAL NO. q/ O3A3I S/ y INPUT LP (d.Odd~l/ f
THERMOSTAT VENTSIZE L/
VALVE~~ ~ TYPEOFLINER
i
LIMIT5~'iX'P LINERSIZE ~
LIMIT SETTING ~ FILTERS: SiZE ~ r~a'a 5 r 1 NUMBERI
FAN SETTMG W1RING
PILO7TYPE TEST7AG
IGNITION MODEL LIGHTING INST.
PILO7TIMING DATETESTED d ~d
PRESSURE ~ ~ ~ PERCEN7 COz b
INPUT CFH 17GPERCENT Oz ~ p COMPANY TESTING
STACK TEMP. __e!34!1..~_ PERCEN7 CO NAME OF TESTER ,
FORM235(REV.11/88) FORMDISTNIBUTION: WHITECOPV- JOBFILE VELLOWCOPY - CITY
CLAIM VOUCHER - REFIJND REQUEST Z4w
CITY OF EAGAN
MAKE CHECK PAYABLE TO: VALLEY PLUMBING
ADDRESS: 860 QUAKER AVE
JORDAN MN 55352
RECEIPT 3t/DATE: 50926 7110/03
51203 7/15/03
52185 7131/03
52788 8/13/03
REASON FOR REFUND: INCORRECTLY CHARGED PERMIT 60180, 60183, 60271, 60272
t50273;60561,60562,60563
60564,60769
TYPE OF REFUND:
Plumbing Permit 9001.4087 $
Mechauical Pernut 9001.4088 $
Building Pemut Fee 9001.4085 $
Plan Review Fee 9001.4222 $
SAC (MC/WS) 9220.2275 $
SAC (City) 9379.4681 $
SAC (Admin) 9001.4246 $
Watec Connec6on 92203865 $
Sewer Pernut 9220.4532 $
WaterPerniit 9220.4507 $
Account Deposit 9220.2252 $
Water Meter 9220.4509 $
WaterTreahnent 9220,4685 $
Water Supply & Storage 9220.4680 $
Surcharge 9001.2195 $ 26.50
Oveipayment 90012250 $
Curb Box Deposit Refund 9220.2253 $
Construction Meter Dep Refund 92202254 $
Other - Fire Pemut 9001.4096 $
TOTAL $ 26.50
I d;P&61-1~' under the penalties of law that this account, claim, or demand is just and that no part of it has been paid.
8l19/03
SIGNATURE DATE
PLiJMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
C, C)~- Telephone # 651-675-5675 FAX # 651-675-5694
Please complete far: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
Date-7/ 141 / [)3
SiteAddress yYy(/i U~I IeI 1/n?Q 6'?n:4" ~+,;t~,•7~ 3 Unit#
ProperEy Owner !"1'T'nYlrn d- 50,1.5 TelepNune # ( )
Contractor uahq P'vM6',-Iq
Address g(p[J Gtvak-e/ ALle city T149.11
State 11`1ianCSafn Zip 55-35';;l- Telephonek (M-)
The Applicant is _ Owner ~ Contractor _ Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
_ Adding fiMures to lower levels or room additions, excluding water so8ener and water heater
_ Abandonment of septic system
_ Water turnaround 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
_ Water softeoer _ Water heater $ 15.00
_ replacement _ additional
r Tli~-' $ 50
State Surcharge ~I i ' 'y. I
J~
Total
~
I hereby apply for a Residential Plumbing Permit and acknowledge at tlie'infor'mation is complete and accurate; that the worl: will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that 1 understand this is nni a
permit, but only an application for a permi[, and work is not to star[ without a permit; that the work will be in accordance with Ihc
approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed ame App icanYs Signature
RESIDEN'I'IAL MECHANICAL
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
i~ 11 `1
Please comple[e for: Single Family Dwellings & Townhomes and Condos when permits aze required for each unit
Date q
Site Address Unit #
Property Owner ? Telephone
Contractor L'r1Tl~I^ A A'R COKfSE"
;on ;:IL-:;oRh Ave..j
StreetAddress [d1r,;,r•7-r,:i7 ,MN 55420 City
State (952) 881-90~' zip Telephone # ( )
Bond Expires:
The Applicant is _ Owner V Contractor _ Other
Add-on, moditication or alteration to eaisting dwelling unit $ 30.00
fumace replacement
air exchanger
air conditioner _ New _ Replacement
other
J
OAIZW
State Surcharge & .50
~
Total 7o
L===~-
I hereby apply for a Residential Mechanical Permit and aclmowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start without a pemut; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
80WrX H7C- E- AIR CONG. W ApplicanYs Printed Name ApplicanYs Signature
"Iavt~lro
P~ t o cAc ~ c~ ~ l~S ~
1 te~S CAMMERCIAL
2002 BUILDING PERMIT APPLICATION g ~
CITY OF EAGAN
651-681-4675
Foundation Onl New Construction Interior Im rovement
• Strudural Plans (2) sets . Mchitedural Plans (2) sefs • Architedursl Plans (2) sels ,
. CivG Plans (2) . SWdurel Plans (2) • Code Malysis (1) "
• Certificate of Survey (1) . qvllPlans (2) • ProJec[SDecs (1)
. Code Malysis (1) , landscaping Plans (2) . Key Plan (1)
• ProJad Specs (1) . Code Analysis (1) " . MasOer Exit Plan (1)
• Spec. Inap. & Tesdng 5chedule . Certificate M Survey (7) • Energy Calwlafions (7 ) not ahvays"
• 5dls RepoA (1) . Spec. Insp. $ Testirg Schedule (1) " • FJec. Power & LighGng Form (1) not always"
. Mafer slae must be established • Meter siae must be established • Mefer size must be esfablished - if applicable
. ProjeCISpCCS (1) 1 ,
1 . EnefgyCalculations (1)
1 • Eledric Power8 Lighting Fam (1)
1 . Master E)dt Plan (t) l
! . Emergency Resporse SHe Plan (1)
1 . SodaReport (1) y .
• MClES SAC de0ecmination IeQer • MClES SAC determMation letter • MClES SAC determination leiter .
ca11 6 51-6 02-100 0 ca11651-602-1000 - ca11851-M-1000
Food & beverdge or bdging faa7ities - submit plan to MN Deparlment of Healtli. Call 651-215-0700 for defails.
" Conffict Buildng Inspections for sample:
Perm(tfornewbuildingsoradditionswillrwtbeprocessedwithoutEmergencyResponseSitePlan. kBuildinglnspectionsforrequiremerfts.
As~/
DATE: 02 WORKTYPE: X NEW REMODEL CONSTRUCTIONCOST:~r~l .
4s y Ls v i-k l c+, -z_.
51TEADDRESS: A
TENANTNAFAE: Cedar Vi.llas Housing 3 SUITE#: -
FORMER TENANT NAME, IF APPUCABLE:
OE$CRIPTION OF WORK s?C~r/'/G-~ &57~~~' f/n.=
Name; Cedar Villas, LLP. Phone#: 6(_ 1 2 ) 341-7800
PROPERTY Last First,
OWNER
StreetAddress: 900 Second Avenue South, Suite 880
City. Minneapolis gtate; MN Zip; 55402
CDmpany; Frana and Sons, Inc. Phone#: ( 952 ) 935-8600
OONTRACI'OR
StreetAddress: 633 Second Avenue South
K
city; Hopkins State: MN D Zipi 55 4 II~
i "UU 2 I ZVUC I !
L
ARriHITE'CT/
ENGINEER Cumpany. Elness Swenson Graham ArchitectsPhone#: En ~ 339-5508
Name: David Graham Registration#: 14808
StreetAddress: 700 Third Street South
~ity; Minneapolis Stau: MN Zip: 55415
Licenaedplumberinstallingnow aewerlwaterservica: Imperial Developers Phone#: 651 l 454-3330
I hereby adcnowiedge tliat I have read thls applicatlon, state that the IMortnatbn Is currect. e9 comp ' all applicaWe State of
Minnesota Statutes and City of Eagan Ordinancea.
Sign2ture of AppliCanL• ~i
Updated 7/02
OFFICE USE ONLY
SUBTYPE
? Ol Foundarion ? 26 Public Facility ? 30 Accessory Bldg.
? 14 Apartments ? 27 CommerciaUfndushial 0 32 Ext Alt - Apts.
? 15 Lodging p 28 Greenhouse ? 34 Eact Alt - Comm.
O 25 Miscellaneous ? 29 Antennae ? 35 Ext AIt - PF
? 37 Nail Salon
WORK TYPE
? 31 New ? 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doors
O 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair
? 33 Alteiations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization
? 34 Replacemern ? 38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORMATION
Census Code Zoning sq. ft. -
SAC Code # of Stories Sy, fL No. of Units L,ength sq. ft:
No. of Bldgs. Width
Const sq'_ff'.
(Actuai) Basement sq. ft. MC/ES System
UBC pc~u (Allowable) First Floor sq. ft. City Water
pan03' sq• ft. Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Gas Service Test ? geating ? Insularion 4 Plumbing ? Stucco/Stone
APPROVALS
PlanninB Building Engineering Variance
VALUATION
Permit Fee
Surcharge '
'lan Reyiew ~ i 1 O- c) L
NC/E3 SAC % 5AC
,ily SAC SAC Units
Nater Supply & Storage Meter 5ize
ilW Pertnit
ilW Surcharge
; reatment Plant
'ark Dedication
'rails Dedica6on
Vater Quaiity
>ther
:opies
1'' a-c* o, a o
'otal
3~1 ci
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - -
I For Office Use r~
Permit #:I 1 D
n
City of Ea V I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 I C
Phone: (651) 675-5675 i Date Received:
Fax: (651) 675-5694 j Staff: I
t-----------------I
2013 COMMERCIAL ~ BUILDING PERMIT APPLICATION
Date: qljq) j 3 Site Address: 7 5 7 1 t / 1 4 or
Tenant Name: _ 6edor 11111a S (Tenant is: New / Existing) Suite
/Former Tenant: Q
Name: ~l ~t~!lQp~dlpl~`yO1 Phone:
Property Owner f~ Address/ City/Zip: U00 6 S-f oV,
Applicant is: Owner Contractor
Type of Work Description of work: T 111 s.? i 1 ~1
o
I Construction Cost: J
Name: 6-4Z '%`Sm G ~ . License
Q
Contractor Address: A-C 41y City: (-'0ldl'i y l1p..7
State: ~ n Zip: Phone: 76~" ~7 C3 J300
Contact: 0660\ N/ h Email: dti M ip~ I er .Sr'n6 0 , V
Name: Registration
Architect/Engineer' Address: City:
State: Zip: Phone:
Contact Person: Email:
Licensed plumber installing new sewer/water service: Phone
NOTE; Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and
codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans.
x 1 yl~ , frl:) x Z~~7
Applicant's Printed Name Applica is Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA178193
Date Issued:08/04/2022
Permit Category:ePermit
Site Address: 4546 Villa Dr
Lot:2 Block: 01 Addition: Cedar Villas
PID:10-16900-01-020
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Cedar Villas Lp
1600 Hopkins Crossroads
Minneapolis MN 55305
Centraire Heating & Air Conditioning Inc
6811 Washington Ave S
Minneapolis MN 55439
(952) 941-1044
Applicant/Permitee: Signature Issued By: Signature